本文選題：口腔醫(yī)療機(jī)構(gòu) + 綜合治療椅水路(DUWL)��； 參考：《新疆醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的:了解烏魯木齊地區(qū)口腔醫(yī)療機(jī)構(gòu)及專業(yè)技術(shù)人員分布現(xiàn)狀和特點(diǎn),口腔醫(yī)療機(jī)構(gòu)綜合治療椅水路細(xì)菌污染狀況,為烏魯木齊地區(qū)口腔醫(yī)療資源配置和口腔醫(yī)療用水污染防控提供依據(jù)。方法:采用調(diào)查表法對(duì)烏魯木齊地區(qū)所有口腔醫(yī)療機(jī)構(gòu)(不含兵團(tuán)、武警、部隊(duì)機(jī)構(gòu))進(jìn)行調(diào)查,了解機(jī)構(gòu)的數(shù)量、分類、屬性、類型,及執(zhí)業(yè)口腔醫(yī)師、護(hù)士的數(shù)量,職稱、學(xué)歷構(gòu)成及分布特點(diǎn);采用抽樣的方法,對(duì)所調(diào)查口腔醫(yī)療機(jī)構(gòu)口腔綜合治療椅原水、三用槍水、高速手機(jī)水按照國(guó)家《生活飲用水標(biāo)準(zhǔn)檢驗(yàn)方法》進(jìn)行細(xì)菌總數(shù)檢測(cè),并在發(fā)放衛(wèi)生部《醫(yī)療機(jī)構(gòu)口腔診療器械消毒技術(shù)操作規(guī)范》干預(yù)10天后進(jìn)行第二次檢測(cè)。以國(guó)家《生活飲用水水質(zhì)標(biāo)準(zhǔn)》為依據(jù)進(jìn)行評(píng)價(jià)。結(jié)果:1)烏魯木齊地區(qū)共有口腔醫(yī)療機(jī)構(gòu)214家,分布在烏魯木齊市6個(gè)區(qū)縣。其中公立41個(gè)占19.16%,民營(yíng)173個(gè)占80.84%;2)214家口腔醫(yī)療機(jī)構(gòu)共有口腔綜合治療椅1063臺(tái),其中公立醫(yī)療機(jī)構(gòu)椅位數(shù)474臺(tái)占44.59%,民營(yíng)機(jī)構(gòu)椅位數(shù)為589臺(tái)占55.41%;3)共有執(zhí)業(yè)(助理)醫(yī)師、護(hù)士1348人,其中執(zhí)業(yè)醫(yī)師990人,執(zhí)業(yè)護(hù)士358人,醫(yī)護(hù)比為1∶0.36,每千人口醫(yī)師數(shù)為0.28人;4)口腔人力資源中,主任、副主任醫(yī)師合計(jì)占比僅為14%,主任、副主任護(hù)師僅占4.75%;執(zhí)業(yè)醫(yī)師中博、碩士合計(jì)占比僅為21.21%;5)副高及以上職稱、本科及以上學(xué)歷醫(yī)師主要分布在公立口腔醫(yī)療機(jī)構(gòu),分別占79.14%和71.28%;中級(jí)及以下職稱、�？萍耙韵聦W(xué)歷醫(yī)師主要分布在民營(yíng)口腔醫(yī)療機(jī)構(gòu),分別占58.52%和87.62%;6)無(wú)論是口腔醫(yī)療機(jī)構(gòu)數(shù)、口腔執(zhí)業(yè)醫(yī)師、護(hù)士還是醫(yī)護(hù)人員總量,天山區(qū)都居首位,其次為新市區(qū),頭屯河區(qū)最低;7)口腔醫(yī)療機(jī)構(gòu)DUWL細(xì)菌污染檢測(cè),原水兩次檢測(cè)超標(biāo)率分別為42.86%和28.57%;三槍水兩次檢測(cè)超標(biāo)率分別為56.10%和68.29%;高速手機(jī)水兩次檢測(cè)超標(biāo)率分別為65.85%和60.98%。從總體上看,細(xì)菌總數(shù)超標(biāo)率都表現(xiàn)出C組B組A組的趨勢(shì),且干預(yù)效果不明顯。結(jié)論:1)烏魯木齊地區(qū)口腔醫(yī)療機(jī)構(gòu)區(qū)縣分布不均衡,口腔人力資源職稱、學(xué)歷偏低;2)烏魯木齊地區(qū)民營(yíng)口腔醫(yī)療機(jī)構(gòu)數(shù)量多,規(guī)模小,服務(wù)能力相對(duì)較弱;3)應(yīng)合理配置口腔衛(wèi)生資源,重視民營(yíng)口腔醫(yī)療機(jī)構(gòu)的發(fā)展,加強(qiáng)口腔醫(yī)療人才隊(duì)伍建設(shè),提升口腔醫(yī)療機(jī)構(gòu)服務(wù)質(zhì)量和服務(wù)水平;4)烏魯木齊地區(qū)口腔醫(yī)療機(jī)構(gòu)DUWL污染嚴(yán)重,應(yīng)引起足夠的重視;應(yīng)加強(qiáng)口腔醫(yī)療從業(yè)人員培訓(xùn),提高對(duì)DUWL污染防控重要性的認(rèn)識(shí)和防控自覺(jué)性;制定必要和DUWL防控行業(yè)法規(guī),加強(qiáng)對(duì)DUWL污染的管理監(jiān)督。
[Abstract]:Objective: to understand the distribution and characteristics of dental medical institutions and professional technicians in Urumqi, and the bacterial contamination of chairs and waterways for comprehensive treatment in stomatology institutions.To provide the basis for the allocation of oral medical resources and the prevention and control of water pollution in Urumqi.Methods: a questionnaire was used to investigate the number, classification, attributes, types, and the number and professional titles of all oral medical institutions in Urumqi (excluding Corps, Armed Police, and Army).The composition and distribution of educational background, the sampling method, the total number of bacteria in the raw water of oral comprehensive treatment chair, the water of three guns and the water of high speed mobile phone were tested according to the National Standard Test method for drinking Water.The second test was carried out 10 days after the release of the Ministry of Health's Technical Specification for sterilizing Stomatological Instruments in Medical institutions.The evaluation is based on the National drinking Water quality Standard.Results: there were 214 oral medical institutions in Urumqi, which were distributed in 6 districts of Urumqi.Among them, 41 are public, 173 are private, 80.842214 dental treatment chairs are 1063, of which 474 are public medical institutions, and 589 are private organizations. There are 1348 doctors and 1348 nurses.Of these, 990 practising doctors, 358 practising nurses, and a medical care ratio of 1: 0.36 and 0.28 doctors per 1,000 inhabitants) of the oral human resources, the total proportion of director and deputy chief physician is only 14. Director and deputy director nurse only account for 4.75.The total proportion of master's degree is only 21.21 / 5) the professional title or above is subtropical high, and doctors with undergraduate degree or above are mainly distributed in public dental medical institutions, accounting for 79.14% and 71.28% respectively; doctors with intermediate and lower professional titles are mainly distributed in private dental medical institutions.(58.52% and 87.62% respectively) No matter the number of dental medical institutions, the total number of dental practitioners, nurses or medical personnel, Tianshan District was the first, followed by Xincheng District and Toutunhe District, the lowest number of DUWL bacteria contamination detection.The surpassing rate of the original water was 42.86% and 28.57%, that of the third gun water was 56.10% and 68.29%, and that of the high speed mobile phone water was 65.85% and 60.98% respectively.On the whole, the total bacterial count exceeded the standard rate and showed the trend of group A in group C, and the intervention effect was not obvious.Conclusion: (1) the distribution of oral medical institutions in Urumqi is not balanced, the professional title of oral human resources, the educational background is low (2) the number and scale of private oral medical institutions in Urumqi are large and small.The service capacity is relatively weak. (3) it is necessary to allocate oral health resources reasonably, attach importance to the development of private oral medical institutions, and strengthen the construction of oral medical talents.DUWL pollution in Stomatological institutions in Urumqi should be paid enough attention to, and the training of dental health practitioners should be strengthened.To improve the importance of DUWL pollution prevention and control and awareness of prevention and control, to formulate necessary and DUWL prevention and control industry laws and regulations, to strengthen the management and supervision of DUWL pollution.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R197.5

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